MARY C BLAZEK MD - Medical Doctor License in Michigan | # 036081381

MARY C BLAZEK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081381

License Status

NOT RENEWED

Business

N

First Name

MARY C

Last Name

BLAZEK

Suffix

MD

Business Name

MARY C BLAZEK MD

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

07/31/2002

State

MI

Ever Disciplined

N

LastModifiedDate

10/09/2006